Assess whether CMS reporting can be certified this quarter (10af21)

Situation

The desk packet is 30-day readmission cohort with social-risk flags after a unit that is an outlier after risk adjustment. Pediatric protocol committee chair in a 400-bed community hospital with alert fatigue has to name Proceed under protocol or Pause the pathway for this Healthcare Models and Documentation file.

Decision

Pediatric protocol committee chair in a 400-bed community hospital with alert fatigue must choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold using 30-day readmission cohort with social-risk flags after a unit that is an outlier after risk adjustment.

Hypotheses to test

• Authorize Proceed under protocol now; 30-day readmission cohort with social-risk flags already has the discriminator after a unit that is an outlier after risk adjustment.
• Keep Pause the pathway in force until 30-day readmission cohort with social-risk flags is completed after a unit that is an outlier after risk adjustment for pediatric protocol committee chair.
• Treat 30-day readmission cohort with social-risk flags as Escalate safety review because both readings appear after a unit that is an outlier after risk adjustment.
• Refuse a Healthcare close: pediatric protocol committee chair does not have the page CMS reporting can be turns on in 30-day readmission cohort with social-risk flags.

Analysis required

• Assess patient-safety and HIPAA / minimum-necessary implications of CMS reporting can be.
• Quantify who is harmed if 30-day readmission cohort with social-risk flags is wrong.
• Separate a documented exception from an OCR-relevant gap in a 400-bed community hospital with alert fatigue.
• For this Healthcare Models and Documentation file, read 30-day readmission cohort with social-risk flags against a unit that is an outlier after risk adjustment and write the one fact that would move CMS reporting can be for pediatric protocol committee chair.

Recommendation

Choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold on this Healthcare / Models and Documentation packet (30-day readmission cohort with social-risk flags after a unit that is an outlier after risk adjustment). Lead with the Healthcare option 30-day readmission cohort with social-risk flags can support after a unit that is an outlier after risk adjustment, then the two facts that force it, then the Monday action for pediatric protocol committee chair in a 400-bed community hospital with alert fatigue.